Cardiovascular risk case study

Example, Lifestyle, Relaxation, Diet

Excerpt from Case Study:

This situatio study of George, grow older 48, presents a classic Type A personality. George functions under a regularly high level of emotional and physical tension. While some with this stress may be the result of his work, a part of it is also self-imposed and is the product of a character type who also often will not seek support unless within a crisis. George works two demanding high-stress jobs. One is as a machinist with a construction company, which is very physically stressful. The additional is as a cab new driver, which can place physical pressure on the sufferer due to extended stays of driving. Although only middle-aged, George has suffered three heart episodes.

There is empirical evidence to suggest that there is an association between personality and susceptibility to suffering cardiac conditions: The hypothalamic-pituitary-adrenal (HPA) axis as well as the stress body hormone cortisol provide key backlinks between emotions and the cardiovascular system. The HPA axis controls various body system functions by simply releasing hormones into the blood vessels (Type G Personality, 2018, par. 7). Genetics, smoking cigarettes and poor lifestyle decisions can also increase a patients susceptibility to cardiovascular system attacks. While not stated, working long hours and shift work in general frequently can reduce the likelihood a patient has time to exercise and take in healthy meals. Thus infrequent work and sleeping patterns are likewise associated with improved cardiovascular risk (Mosendane, Mosendane, Raal, 2008). Georges patriarchal cultural perceptions about females working as well as the need to be a breadwinner obviously intensify his emotional pressure, as does one of his childrens learning disabilities. George is incredibly resistant to the idea of his partner working and shouldering a number of the financial burden of the relatives.

Crisis Paradigm

Although George may not truly feel as though he’s living in a state of problems, his younger age combined with the risks posed by his cardiovascular attacks implies that he warrants a crisis-based procedure in terms of his treatment. His unwillingness to get help likewise suggests that this approach could possibly be needed. One helpful style for psychological crisis treatment is the transtheoretical model of change, which suggests pre-contemplation, contemplation, preparedness, action, repair are the measures involved in any change process (Transtheoretical Version, 2018). Currently, George with the pre-contemplation level, in which he denies the advantages of change entirely. Pre-contemplation can be characterized by an absence of awareness and a lack of the ability to connect behaviors like cigarette smoking, stress, and working extended stays with unfavorable consequences. You cannot find any indication that George has turned any changes in lifestyle since his previous center attacks. In fact , his views about his need to work harder have appeared to become a lot more entrenched.

Given this fact, a crucial part of the nurses job should be to convince George about the advantages of change. What this means is laying prior to George the statistics that his health position is not normal. Discussing Georges way of living, including his diet, work out, and sleeping habits, would also be